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肾切除术后输尿管残端偶然可以产生症状,但经常被误认为其它疾病。残端疾病可能到晚期或者在为其它疾病而进行手术时才被发现。本文报告14例输尿管残端疾病:结石6例,肿瘤5例(移行上皮细胞癌3例、肾细胞癌2例),炎症3例(囊性输尿管炎、膀胱输尿管反流继发持续性感染及异位到阴道的输尿管残端感染各1例)。6例残端结石患者从肾切除术至出现症状时相隔3~44(平均18)年。均有腹痛。其中4例虽然在腹平片中残端结石显示清楚,但起初均被误认为非泌尿系疾病,经其它检查包括剖腹术后才明确诊断。有5
Ureteral stump after the nephrectomy can occasionally produce symptoms, but is often mistaken for other diseases. Stump disease may be late or found for other diseases when surgery. This article reports 14 cases of ureteral stump disease: stones in 6 cases, tumors in 5 cases (transitional cell carcinoma in 3 cases, renal cell carcinoma in 2 cases), inflammation in 3 cases (cystic ureteritis, vesicoureteral reflux secondary persistent infection and Ectopic vaginal ureter stump infection in 1 case). Six patients with stump calculi were separated from nephrectomy to symptoms ranging from 3 to 44 (mean 18) years. Have abdominal pain. Of the 4 cases, although the stump was clearly seen in the abdominal plain film, initially all were mistaken for non-urological diseases and were definitely diagnosed after other tests including laparotomy. There are 5